SUSAN ELAINE MARTIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002364

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ELAINE

Last Name

MARTIN

Business Name

SUSAN ELAINE MARTIN

Original Issue Date

07/05/2001

Effective Date

07/05/2001

Expiration Date

05/31/2004

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/09/2008